340B Drug Pricing Program Database

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FRED MEYER STORES INC
DSH380017 LEGACY GOOD SAMARITAN HOSPITAL

Covered Entity Details

Disproportionate Share Hospital
DSH380017
1015 NW 22ND AVENUE
PORTLAND, OR 97210
380017
10/1/2016
9/2/2024


Pharmacy Details

FRED MEYER PHARMACY #360
100 NW 20TH PLACE
PORTLAND, OR 97209

Contract Details

4/10/2020
7/1/2020


Contacts


Anna Loomis, SVP Chief Financial Officer
(503) 415-5730



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
4/10/2020